Please review attached fileWK#5Case Scenario: An 84- year-old -female who has a history of diverticular disease presents

  

Please review attached file

WK#5

Case Scenario:

An 84- year-old -female who has a history of diverticular disease presents to the clinic with left lower quadrant (LLQ) pain of the abdomen that is accompanied by with constipation, nausea, vomiting and a low-grade fever (100.20 F) for 1 day.

On physical exam the patient appears unwell. She has signs of dehydration (pale mucosa, poor skin turgor with mild hypotension [90/60 mm Hg] and tachycardia [101 bpm]). The remainder of her exam is normal except for her abdomen where the NP notes a distended, round contour. Bowel sounds a faint and very hypoactive. She is tender to light palpation of the LLQ but without rebound tenderness. There is hyper-resonance of her abdomen to percussion.  

· The following diagnostics reveal:  

· Stool for occult blood is positive.

· Flat plate abdominal x-ray demonstrates a bowel-gas pattern consistent with an ileus. 

· Abdominal CT scan with contrast shows no evidence of a mass or abscess. Small bowel in distended. 

Based on the clinical presentation, physical exam and diagnostic findings, the patient is diagnosed with acute diverticulitis and she is admitted to the hospital. She is prescribed intravenous antibiotics and fluids (IVF). Her symptoms improved and she could tolerate a regular diet before she was discharged to home.   

Discussion Questions:

1. Compare and contrast the pathophysiology between diverticular disease (diverticulosis) and diverticulitis.

2. Identify the clinical findings from the case that supports a diagnosis of acute diverticulitis.  

3. List 3 risk factors for acute diverticulitis.

4. Discuss why antibiotics and IV fluids are indicated in this case.

NR507 Week 5 Discussion Rubric

NR507 Week 5 Discussion Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeApplication of Course Knowledge:

The student:

1. Compares and contrasts the pathophysiology between diverticular disease (diverticulosis) and diverticulitis.

2. Identifies the clinical findings from the case that supports a diagnosis of acute diverticulitis.  

3. Lists 3 risk factors for acute diverticulitis.

4. Discusses why antibiotics and IV fluids are indicated in this case.

(4 critical elements)

30 pts

All critical elements are met.

27 pts

1 critical element is missing.

25 pts

2 critical elements are missing.

15 pts

3 critical elements are missing.

0 pts

All 4 critical elements are missing.

30 pts

This criterion is linked to a Learning OutcomeSupport from Evidence-Based Practice:

Initial discussion post is supported with appropriate, scholarly sources;

AND
Sources are published within the last 5 years (unless it is the most current CPG);

AND
Reference list is provided and in-text citations match; AND
All answers are fully supported with an appropriate EBM argument.

30 pts

All critical elements are met.

27 pts

1 critical element is missing.

25 pts

2 critical elements are missing.

15 pts

3 critical elements are missing.

0 pts

All 4 critical elements are missing.

3

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Help responding to collegues Please respond to the following colleaguesAS Angela

Help responding to collegues  Please respond to the following colleagues AS Angela Stapleton-Burley Jun 25 10:56pm Manage Discussion by Angela Stapleton-Burley Reply from Angela Stapleton-Burley   Hi Everoyne, One significant benefit of incorporating big data into clinical systems is the enhancement of predictive analytics, which allows providers to proactively identify

Purpose: The purpose of this assignment is to assess your ability to conduct a systematic and comprehensive head-to-toe physical assessment. This will

Purpose: The purpose of this assignment is to assess your ability to conduct a systematic and comprehensive head-to-toe physical assessment. This will help reinforce critical thinking, clinical reasoning, and documentation skills essential for nursing practice. By completing this assignment, you will demonstrate proficiency in assessing various body systems, identifying normal

COMPLETE USING DOCUMENT POSTED WITH ASSIGNMENTThumbnails/thumbnail.pngDetermining Anesthesia Service Payments and Modifiers As a new medical

COMPLETE USING DOCUMENT POSTED WITH ASSIGNMENT Thumbnails/thumbnail.png Determining Anesthesia Service Payments and Modifiers As a new medical coder for an Anesthesiologist group, it is important that you practice calculating service payments by assigning the appropriate anesthesia code(s) and modifier(s), as well as determining the base and time unit values, any